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Rural Health
Resources by Topic: Medicare

A Comparison of Rural Hospitals with Special Medicare Payment Provisions to Urban and Rural Hospitals Paid Under Prospective Payment
Compares the financial performance and condition of rural hospitals with special Medicare payment provisions - Critical Access Hospitals (CAHs), Medicare Dependent Hospitals (MDHs), Sole Community Hospitals (SCHs), and Rural Referral Centers (RRCs) - to urban and rural hospitals paid under prospective payment.
Additional links: Findings Brief: A Financial Comparison of Rural Hospitals With Special Medicare Payment Provisions to Hospitals Paid Under Prospective Payment, 4/2010, Findings Brief: Profitability of Rural Hospitals Paid Under Prospective Payment Compared to Rural Hospitals with Special Medicare Payment Provisions, 9/2010
Author(s): G. Mark Holmes, George H. Pink, Sarah A. Friedman, Hilda A. Howard
Date: 08/2010
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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The Medicare Physician Quality Reporting Initiative: Implications for Rural Physicians
Discusses the impact of rurality on office-based physicians' participation in the 2007 Physician Quality Reporting Initiative (PQRI), a voluntary pay-for-reporting program in Medicare.
Author(s): Alycia Infante, Michael Meit, Elizabeth Hargrave
Date: 08/2010
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Rural Medicare Advantage: Modest Enrollment Growth in 2010
Reports trends in rural Medicare Advantage (MA) enrollment.
Author(s): Leah Kemper, Timothy D. McBride, Keith Mueller
Date: 08/2010
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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MedPAC Report to Congress: Aligning Incentives in Medicare, June 2010
Focuses on how incentives in the Medicare program can be leveraged to promote healthcare quality and efficient use of resources, both of which are key elements of a high-value healthcare delivery system. Includes chapters focused on graduate medical education financing and inpatient psychiatric care.
Additional links: Executive Summary
Date: 06/2010
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Alternatives to the Outpatient Prospective Payment System: Assessing the Impact on Rural Hospitals
Explores alternatives to Medicare's Outpatient Prospective Payment System and how these options would affect rural hospitals.
Author(s): Janet Pagan-Sutton, Claudia Schur, Katie Merrell
Date: 04/2010
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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The Effect of Medicare Part D Plan Switching and Formulary Changes on Sole Community Pharmacies and the Patients They Serve
Presents findings from a survey of sole community independent pharmacies owned by pharmacists. Focuses on the impact of the Medicare Part D program.
Author(s): Michelle Lampman, Andrea Radford, Anh Nguyen
Date: 03/2010
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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MedPAC Report to the Congress: Medicare Payment Policy, 2010
Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included throughout the report.
Date: 03/2010
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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February 2010: A Dramatic Shift Away from Private Fee-for-Service Plans in Rural Medicare Advantage Enrollment
Discusses the decline in private fee-for-service (PFFS) enrollment in rural areas and as a result, Medicare Advantage (MA) enrollment in those areas, excluding other prepaid plans, fell slightly in early 2010 for the first time in years.
Author(s): Leah Kemper, Timothy D. McBride, M. Katherine Stone, Keith Mueller
Date: 03/2010
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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December 2009: Rural Medicare Advantage Enrollment Grows 15% in 2009
Analyzes the growth of rural enrollment in Medicare Advantage (MA) and other prepaid plans from December 2008 to December 2009. Discusses future changes in MA rural enrollment due to a decline in private fee-for-service (PFFS) plan availability starting in 2010.
Author(s): Leah Kemper, Timothy D. McBride, Keith Mueller
Date: 01/2010
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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The Potential Impact of Pay-for-Performance on the Financial Health of Critical Access Hospitals
Models the impact of different Medicare pay-for-performance (P4P) incentives on the financial health of Critical Access Hospitals (CAHs) using quality performance measures for pneumonia and heart failure from several data sources.
Additional links: Policy Brief, February 2010
Author(s): Robert Town, Ira Moscovice
Date: 12/2009
Type: Document
Sponsoring organization: Flex Monitoring Team
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